31956D - Shipwash

0 CAMA / DREDGE & FILL NC' 31956-1
GENERAL PERMIT Previous permit#
)-% ,New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environment and Natural Resources
v
and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC `1 a //U V 7// • C) •
LRules attached.
Applicant Name i 117 i(.1 S/,i+'ti'i SR Project Location: County
Address 'rj' /O f/tv y L/.7 V.J. _ - Street Address/State Road/Lot#(s) C/U y, '7'''` 5 f"
City (/N YfvA., �/ State ,VC ZIP,)7 5- (.
Phone# (/�/) ,�t2 b ' �f,�/ ax#( ) Subdivision 0/6 ,AFT//''R f ?-F-4C/7
Authorized Agent t4A.41 NO,Z i M4R f N P City SH/ - /fi i ZIP J `/V 5
Affected a CW CHEW L PTA L ES ❑PTS Phone # ( ) River Basin ( AF
❑OEA ❑HHF ❑IH ❑UBA C N/A
AEC s : Adj.Wtr. Body CAN'A 1-- (nat �nkn)
EPWS: ❑FC: ps ,l SovtN�
ORW: yes /� PNA yes /52 Crit. Hab. yes / no Closest Maj.Wtr. Body.
Type of Project/Activity M; VW(0' /:), efi / H /K,lf.P../r:a ;"?‘.-7-"/I 6,07Ir"ft 7(
(Scale: / 7 a o )
Pier(dock)length y f 3
Platform(s) • V; '
Finger pier(s) A}
Groin length _
number — + — —
i I 1
Bulkhead/Riprap length ' S
avg distance offshore --.)
max distance offshore
Basin,channel —
.
1
'C.
r! 5 t
cubic yards -
Boat ramp - /0
. —
Boathouse/Boatlift )I •,r Z/
/y'
Beach Bulldozing -
Other r�yz!
. . . • • • .11$14. (54
Shoreline Length A �'.
. . I
SAV: not sure yes no -. r - L--
Sandbags: not sure yes no \ — f 1 F` t u4 {a
Moratorium: n/a yes no T.
Photos: es no ,-
Waiver Attached: yes no G 11 f `)f _ t
A building permit may be required by: GI of t= ( i f y . L See note on back lt
regarding� River Basin rules.
Notes/Special Conditions -,ti1 �t'c 4ttf fro:/ - E ,yc.e+'
- tom` �,5 g fi A 4 I IA ; -7''
j
Agent or Applicant Printed Name Permit Officer's Signature
_ /:r, - • ..)3 - o /0-J3- 0
'Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date
Sr
fI (:'j ''( 507)318f
Application Fee(s)}J ram, 0 Check#z c,0 Local Planningf urisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
I 1 Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-648 I)or the Wilmington
Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-390I 252-946-648 I
Location: Fax: [phone] Fax: [phone]
(Serves:Camden, Chowan, Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd.
Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised 10/C

CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - Public Trust
"EW" - Estuarine Waters "CW"- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW"- Public Water Supply "OR" - Outstanding Resource Water
CODES FOR PROJECT
"P"- Private-usua]1v an individual "F" - Federal
"C"- Commmthal "L" - Local Government
"U„- Utility "H"- Housing
Development
"S" - State "
O - Other
4 CODES FOR PROJ DESCRIPTION
"11"- BuldhPar:s,Rinran "16" - Utility Lines
"12"- Piers,Docks Boathouses "17" - Emergency Repairs
"13"- Boat Ramps -
"18" Beach Bulldozing
"14"- Wooden Groins "19"- Temporary Structures
-- -_ "15"- Maintenance of Basins, Channels,Ditches --- - --.--- - -- -
GENEL PERK COMPUTER FOR
APPLICANT NAIVE: S-tC tr-e St'P LAM 4
ADDITIONAL NAMES: �cs, 4 WOrk MQ
AEC D;SIG: t/ DEVELOP AP. A: v.U PROD DFSC: -
(Wr[1 onivrake 6) — I)
WORK: G I-F 55—
s1 c
(Will cmly lake 4)
61 r t6
A]NT:
• (Will only t ke4)
De: fJW 16)7 .4- c5
(will only raise 6)
If°
ACTION EXPIP.4TION
DREDGE c:r TT J F,rQUIR"D: Q O
CAM A MAJOR DE\ REQUIRED: '? >"3--o1— — y'3—0 Y

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DJ\ IS 'QN of COASTAL MANAGEMENT
JACENT RIPATWIROPEXTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: $/CVE 4'
Address Of Property: V'
Stiv f n74�- fr. C..
(Lot or Street #, Street or Road, City & County)
I hereby certify ' that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
) n R
A/(1/ I have no objections to this proposal .
If You have oblect4on,s to wrhft is being proposed, please write the
Division of Coasta; MykagtrAnt., ) 27 Cardinal Drive Extension,
Wilmington, North_garslina,, 28405, or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no obiectjon if vct have been notified by Certified Mail
AIMIP
WA,IVVR SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area cf riparian access unless waived by me. (If you wish
to waive the setback, you rust initial the appropriate blank
below. )
Pj n ilee
k fC, �(J I do wish to waive the 15 'setback requirement.
---�- I co not wish to waive the 15'setback requirement.
_�--
g?".Gste€4,--
Sig to LVite�
X t I/Jd1 n' v +k
Pr ' nt Nam
lephone Number With Area' Code N��

va,,qx9,.0 COASTAL‘ MANAGEMENT
ADJACENT RIPA.144ANt-itc,FJERT.r. OWNER NOTIFICATION/WAIVER.- FORM
_ .
Name Of IndividUal::',,:'4,041re..in4.:','1:F.or .permit t \it= I 13,0A-5
Lb
Address Of Property, 4--
7- —
. -
, r2.rF ,
(Lot' Street #, treet or Road, City & County)
I hereby certfy tht I property adjacent to the above-
• - •referenced prcpertY4:: •ah ..;.'-1ndiVldual applying for this permit has
described to ne a0,,:*11PAOrj',:tile-attach6d drawing the development
,
they a ropOs,tngir-':.‘'Air-'"dkgiOr1.pt..3;0n or drawing, with dimensions,
sho ' e prov.,.dedsith letter
-
4-P1- X- I have .--#0:''iiO4,0*tons to this proposal.
pr
.r1V
• , :
If you have cbieCtIops-tcii-hat is being proposed, please write the
Division of Coatat."1144:agtf:elqiiint 127 - Cardinal Drive Extension.
Wilminaton . -Northt4t4..X.rj:*';!::184.--.05.,-or call 910 395-3900 within 10
days of rce1otof31s fl1c No response is considered the same
as no ob:jectiOn en notified by Certified Mail
, -
1*XV-ER:-SECTION
I understand tnt a iér, ock, mooring pilings, breakwater, boat
house, lift or sand4000-**:•:*,: et back a minimum distance of 15'
from my area of rip*g,i'..**ki0i;4*,.0.0:-.4.inless waived by me. (If you wish
to waive the stbac , yot jnut initial the appropriate blank
below. )
•
411..1 tO do wish the 15 'setback requirement
I cio nOt-::::5*OitYcto:,:tgaiiie the 15'setback requirement.
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Prin
MillbawaftaWilik AMIIIMMIUMW
Telephone Number With AeCode
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ANTINORI CONSTRUCTION BANK OF AMERICA
3390
896 HWY. 210
HOLLY RIDGE, NC 28445
[phone] 66-19/530 3�O 2
PAY
TO THE
ORDER OF �6 N� $ �j7� 1
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